Load distribution in early osteoarthritis

Andreas H. Gomoll, Peter Angele, Vincenzo Condello, Vincenzo Madonna, Henning Madry, Pietro Randelli, Nogah Shabshin, Peter Verdonk, Rene Verdonk

Research output: Contribution to journalArticlepeer-review


Total knee replacement is an accepted standard of care for the treatment of advanced knee osteoarthritis with good results in the vast majority of older patients. The use in younger and more active populations, however, remains controversial due to concerns over activity restrictions, implant survival, and patient satisfaction with the procedure. It is in these younger patient populations that alternatives to arthroplasty are increasingly being explored. Historically, osteotomy was utilized to address unicompartmental pain from degeneration and overload, for example, after meniscectomy. Utilization rates of osteotomy have fallen in recent years due to the increasing popularity of partial and total knee arthroplasty. This article explores the indications and outcomes of traditional unloading osteotomy, as well as newer options that are less invasive and offer faster return to function. Level of evidence V.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Publication statusAccepted/In press - Apr 16 2016


  • Early OA
  • High tibial osteotomy
  • Knee osteoarthritis
  • Overloading

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery


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